Please indicate if you would like to be a mentor, mentee or both! NOTE: MS1s and MS2s are not eligible to be mentors at this time and should select "Mentee" below. *
Currently You Are: *
Where are you located? *
Required
What program are you with? *
Your answer
What is the best way to connect for you with your mentor/mentee? *
Required
What are your interests within Family Medicine? (select all that apply) *
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Unfortunately, we may not be able to match everyone due to discrepancies between the numbers of mentors and mentees. If you are not matched, would you be interested in being included in FMIG emails regarding mentorship activities?
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Additional Comments:
Your answer
Thank you again for your interest and willingness to participate! We will be reaching out to you shortly. - UWSOM Family Medicine Interest Group